Charles Todd Rudolph (NPI# 1346351673, PAC ID# 4284685678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346351673 |
| PAC ID by PECOS | 4284685678 |
| Professional Enrollment ID | I20050202000872 |
| Full Name | Charles Todd Rudolph |
| Organization Legal Name | DX MSO PLLC |
| Address |
170 Mouse Creek Rd Nw Cleveland TN 37312-3840 |
| Phone Number | 4234581426 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719131101 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1521 Gunbarrel Rd, Suite 103, Chattanooga, TN 37421-3124 | 4235310911 | DX MSO PLLC |
| 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 | 4234581426 | DX MSO PLLC |
| 700 N Campbell Station Rd, Farragut, TN 37934-1602 | 4234765990 | DX MSO PLLC |
| 5150 N Broadway St, Knoxville, TN 37918-2342 | 8655495111 | DX MSO PLLC |
| 6108 Kingston Pike, Knoxville, TN 37919-4019 | 8655399299 | DX MSO PLLC |
| 7564 Chapman Hwy, Knoxville, TN 37920-6684 | 4234765990 | DX MSO PLLC |
| 9058 Old Lee Hwy, Ooltewah, TN 37363-5631 | 4235319110 | DX MSO PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | DX MSO PLLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Elizabeth Ballard | Dermatology | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Jack C Clark Jr. | Family Practice | Dx Mso Pllc | 6106 Kingston Pike, Knoxville, TN 37919-4019 |
| John W Mcmichen | Emergency Medicine | Dx Mso Pllc | 2037 Congress Pkwy S, Athens, TN 37303-2813 |
| Gordon Shafer | Nurse Practitioner | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Matthew William Mcclanahan | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Vivak S Bhatt | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Christine B Myers | Internal Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Lana G Fox | Pediatric Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Allan David Moser | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Cortney J Cash | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Street Address |
170 MOUSE CREEK RD NW |
| City | CLEVELAND |
| State | TN |
| Zip | 37312-3840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Elizabeth Ballard | Dermatology | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Gordon Shafer | Nurse Practitioner | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Matthew William Mcclanahan | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Vivak S Bhatt | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Christine B Myers | Internal Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Lana G Fox | Pediatric Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Allan David Moser | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Cortney J Cash | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Charles L Tapley | Family Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Brittany Kimberlin Congress | Emergency Medicine | Dx Mso Pllc | 170 Mouse Creek Rd Nw, Cleveland, TN 37312-3840 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Pinson | Pain Management | 3917 Georgetown Rd Nw, Cleveland, TN 37312-1806 | |
| Brandon West | Physician Assistant | Voytik Center for Orthopedic Care, PC | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 |
| Gary J Voytik | Orthopedic Surgery | Voytik Center for Orthopedic Care, PC | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 |
| Candace Craven | Nurse Practitioner | Rmi Holding Corporation, Inc | 3852 Candies Creek Lane Nw, Cleveland, TN 37312-1863 |
| David T Rahamut | Chiropractic | 3771 Georgetown Rd Nw, Cleveland, TN 37312-2565 | |
| Marian W Rowland | Nurse Practitioner | Omni Community Health, Inc. | 2600 Executive Park Nw, Cleveland, TN 37312-2705 |
| Ajitkumar G Kemkar | Internal Medicine | 2625 Executive Park Nw, Cleveland, TN 37312-2721 | |
| Michael D Hill | Psychiatry | Volunteer Behavioral Health Care System | 2700 Executive Park Nw, Cleveland, TN 37312-2722 |
| Melissa Sisco | Nurse Practitioner | Volunteer Behavioral Health Care System | 2700 Executive Park Nw, Cleveland, TN 37312-2722 |
| Linda B Hudson | Clinical Social Worker | Volunteer Behavioral Health Care System | 2700 Executive Park Nw, Cleveland, TN 37312-2722 |
| Find all physicians in zip 37312 | |||
| City | CLEVELAND |
| Zip Code | 37312 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLEVELAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles Todd Rudolph.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.